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LIFE CLINIC OF MA PC NPI 1225568975


NPI Information

NPI: 1225568975
Provider Name: LIFE CLINIC OF MA PC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
300 BOYLSTON ST
CHESTNUT HILL, MA
ZIP 02467
Phone: (339) 927-4379
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LIFE CLINIC OF MA PC is a chiropractor in Chestnut Hill, MA. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. LIFE CLINIC OF MA PC NPI is 1225568975. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

300 BOYLSTON ST
CHESTNUT HILL, MA
ZIP 02467-959
Phone: (339) 927-4379

The provider's authorized official is Albert Couillard .
The authorized official title is President and has the following contact phone number (339) 927-4379.

The enumeration date for this NPI number is 6/15/2017 and was last updated on 6/26/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1225100000XPhysical Therapist22574MASSACHUSETTSNo
2111N00000XChiropractor3387MASSACHUSETTSYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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